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SOFT B > FINAL Spring 2010 > Flashcards

FINAL Spring 2010 Flashcards

1
Q

Diagnostic modality of choice for confirming, evaluating and monitoring progression or stability of AAA: (Y&R 1819)

a. Plain film
b. ultrasound
c. CT
d. MRI

A

b. ultrasound

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2
Q

The most common neoplasm producing cancer related death in males and females

a. Breast
b. Lung
c. Pancreas
d. Kidney

A

b. lung

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3
Q

ON this view the right ventricle is non-boarder forming:

a. PA
b. Lateral
c. LAO
d. RAO

A

A. PA

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4
Q

The vanishing tumor of phantom tumor of the lung is:

a. Reinflation of a collapsed lobe of a collapsed lobe from resorption atelectasis
b. Resolution of interstitial edema associated with mitral stenosis
c. Shifting of free plural fluid with change of patient position
d. Resorption of fissure related pleural effusion associated with CHF

A

d. Resorption of fissure related pleural effusion associated with CHF

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5
Q

All of the following are causes of small bowel obstruction (mechanical ileus)? Which one is most common? (Mar.P1335)

a. Volvulus
b. Post-surgical scaring/adhesions
c. Neoplasms
d. Bowel hernia

A

b. Post-surgical scaring/adhesions

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6
Q

At autopsy, ____ of cancer patient have pulmonary metastasis P1204

a. 30-50%
b. 10-15%
c. 60-70%
d. 80-90%

A

a. 30-50%

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7
Q

The most common location within the aorta for aneurysm formation is: YR 1819

a. Aortic arch
b. Descending thoracic aorta
c. Ascending aorta
d. Abdominal aorta

A

d. abdominal aorta

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8
Q

An example of Stanford Type A aneurysm is aortic dissection of Marfan’s syndrome

a. True
b. False

A

a. True

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9
Q

The most common posterior mediastinal mass:

a. Bronchogenic cyst
b. Neurogenic tumors
c. Aortic aneurysm
d. Esophageal achalasia

A

b. Neurogenic tumors

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10
Q

Active secondary tuberculosis may produce upper lung ____ which may lead to ____

a. Air space consolidation, cavitation
b. Fibrotic nodules, conglomerate masses
c. Nodular densities, multiple calcific nodules
d. Fibrosis, pulmonary arterial hypertension

A

a. Air space consolidation, cavitation

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11
Q

The significance clinically AAA is explain by”:

a. The bigger they are the harder they fall rule
b. The law of Bornet
c. Bigger must be worse rule
d. The law of LaPlace

A

d. The law of LaPlace

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12
Q

Which of the following characteristic finding of mitral stenosis:

a. left atrial enlargement, pulmonary venous hypertension, upper lung fibrosis
b. pulmonary arterial hypertension, pulmonary edema, left ventricular enlargement
c. Pulmonary edema, pulmonary venous hypertension, left atrial enlargement
d. Hemosiderosis, right ventricular enlargement, phantom tumor

A

c. Pulmonary edema, pulmonary venous hypertension, left atrial enlargement

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13
Q

True of both Hodgkin’s and non-Hodgkin’s lymphoma Mar. P1203

a. Hilar & mediastinal LAN
b. Pleural effusion
c. Interstitial lung pattern
d. Biomodal age distribution

A

a. Hilar & mediastinal LAN

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14
Q

Pancoast tumor is a(n) ____ usually

a. Squamous cell carcinoma
b. Large cell carcinoma
c. Alveolar cell carcinoma
d. Carcinoid tumor

A

a. Squamous cell carcinoma

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15
Q

Aortic coarctation classic radiographic finding: Mar 1158

a. may produce bilateral rib notching
b. causes unilateral rib notching
c. Rt. Ventricle enlargement
d. Compress the trachea

A

a. may produce bilateral rib notching

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16
Q

Abdominal or lumbar spine films cannot evaluate which of the following?

a. Masses
b. GI mucosal detail
c. Calcification
d. Gas patterns

A

b. GI mucosal detail

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17
Q

The presence of pulmonary hematogenous metastasis usually indicates (Mar p1207)

a. Slow primary growth
b. A lethal outcome
c. The primary lesions is a carcinoma
d. The primary lesions is an adenoma

A

b. A lethal outcome

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18
Q

hich of the following is a pulmonary disorder that can also produce pathological spinal compression fracture?

a. carter’s syndrome
b. Wegener’s disorder
c. Langerhans histocytosis / eosinophilic granuloma
d. Erasmus syndrome

A

c. Langerhans histocytosis / eosinophilic granuloma

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19
Q

A mycetoma would most likely be found within the lung: however they can also be found in paranasal sinuses, “Which of the following could stimulate a “fungus ball” within the lung?”

a. Staph aureus cavitation
b. Fungal cavitation
c. Infected bulla
d. incomplete tumor cavitation

A

d. incomplete tumor cavitation

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20
Q

Distention of small bowel related to obstruction shows loops of small bowel > ___ cm Mar. p1335

a. 5
b. 7
c. 3
d. 4

A

c. 3

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21
Q

Which of the following causes pulmonary edema related to pulmonary venous hypertension? Pick all that apply

a. Mitral stenosis
b. Pulmonary fibrosis
c. Congestive heart failure
d. Ammonia gas inhalation

A

a. Mitral stenosis

c. Congestive heart failure

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22
Q

Hyperparathyroidism may be a clinical indication of:

a. Atelectasis
b. Previous pulmonary tuberculosis
c. Pleuritis
d. Pulmonary neoplasm

A

d. Pulmonary neoplasm

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23
Q

The Pancoast syndrome consists of:

a. Localized emphysema, apical pulmonary mass, rib pain
b. Arm pain, cervical spine pain, hilar pulmonary mass, Horner’s syndrome
c. Bloody sputum, apical pulmonary mass, arm pain, vertebral destruction
d. Horner’s syndrome, arm pain, neck pain, apical pulmonary mass

A

d. Horner’s syndrome, arm pain, neck pain, apical pulmonary mass

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24
Q

Westermark’s sign and Hampton’s hum are radiographic features of (MAR 1165)

a. Pneumothorax
b. Myocardial infarction
c. Pulmonary embolism/infarction
d. Pneumococcal pneumonia

A

c. Pulmonary embolism/infarction

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25
Q

Fiborthorax may produce ____ and ____. Pick two

a. Pleural calcification
b. Herniation of ipsilateral lung tissue
c. Tracheal deviation to contralateral side
d. Narrowed rib cage on ipsilateral side

A

a. Pleural calcification

d. Narrowed rib cage on ipsilateral side

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26
Q

Eisenmenger physiology results in?

a. Premature life termination
b. Great exercise for the right ventricle
c. Left atrial enlargement
d. Increased pulmonary gaseous transmission

A

a. Premature life termination

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27
Q

Three direct signs of lung collapse, seen on plain film, are:

a. increase lung lucency, displaced fissures, and hilar elevation
b. increased lung opacity, displaced fissures, and vascular or bronchial crowding
c. Unilateral hemidiaphgram elevation, tracheal deviation, displaced fissures
d. Hilar displacement, displaced fissure, hyperluccency of unaffected lung

A

b. increased lung opacity, displaced fissures, and vascular or bronchial crowding

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28
Q

Chiropractic clinicians should be aware that many intrinsic organ disease refer pain. Abdominal visceral disease may refer pain to the musculoskeletal system. gynecological disorders and disease of the aorta, colon, and rectum may refer pain to the ____ Mar 1267

a. Lumbar spine
b. Groin
c. Mid thoracic spine
d. Sacral region

A

a. Lumbar spine

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29
Q

Costophrenic angel blunting may indicated free pleural effusion or ____

a. Pleural scar
b. Atelectasis of lower lobe
c. Basal subsegment infiltrate
d. Subpulmonic pleural effusion

A

a. Pleural scar

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30
Q

Next to lymph nodes, this might be second most common cause for middle mediastinal masses.

a. Trachea
b. Esophagus
c. Aorta
d. Azygos vein enlargement

A

b. Esophagus

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31
Q

Which cardiac examination will show blood perfusion of the cardiac muscle?

a. Echogcardiography
b. Retrograde aortography
c. Coronary arteriography
d. thallium scan

A

d. thallium scan

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32
Q

The lease sensitive chest film for pleural effusion is:

a. an upright P.A. projection
b. the lateral decubitus view
c. A lateral view
d. A cross-table lateral projection

A

a. an upright P.A. projection

33
Q

All of the following would be considered true statements regarding pulmonic metastasis except: (MAR 1207)

a. Happens in all age groups
b. May have no symptoms at discovery
c. Pleural effusion commonly accompanies
d. may have no know primary

A

a. Happens in all age groups

34
Q

Hilar mediastinal lymphadenopathy is most often due to ____ in young patient and ___ in older patients (goodman p165)

a. Sarcoidosis, lung cancer
b. Histoplasmosis, tuberculosis
c. Coccidioidomycosis, lymphoma
d. TB, Lung cancer

A

a. Sarcoidosis, lung cancer

35
Q

The characteristic radiographic finding of pneumothorax including all of the following except:

a. Peripheral hyperluccency / pleural space air
b. Mediastinal shift to the affected side
c. Visceral pleural line
d. tracheal deviation to unaffected side

A

b. Mediastinal shift to the affected side

36
Q

Which one of the following is associated with ASD and a hypoplastic or nonfunctioning right ventricle:

a. Tetralogy of Fallot
b. Trilogy of Fallot
c. Tricuspid atresia
d. Transposition
e. Ebstein’s anomaly with cyanosis

A

c. Tricuspid atresia

37
Q

ASD with mitral stenosis would be expected to produce?

a. Low volume right to left shunting
b. Low volume left to right shunting
c. High volume left to right shunting
d. High volume right to left shunting

A

c. High volume left to right shunting

38
Q

Which one of the following is primarily caused by pulmonic valve stenosis?

a. Tetralogy of Fallot
b. Truncus arterioles
c. Tricuspid atresia
d. Transposition
e. Ebstein’s anomaly with cyanosis

A

a. Tetralogy of Fallot

39
Q

Cephalic shift in pulmonary vascularity associated with venous hypertension (viking hat sign), in the pulmonary circulation, cause large upper lung blood vessel, in the upright position, which may equal the size of the lower lung blood vessels

a. True
b. False

A

a. True

40
Q

Which one of the following non-cyanotic?

a. VSD + Eisenmenger
b. Trilogy of Fallot
c. Ebstein’s + ASD
d. PDA
e. Tetralogy of Fallot

A

d. PDA

41
Q

Which condition would not be a precursor for left ventricular failure?

a. Emphysema
b. Aortic stenosis
c. Mitral regurgitation
d. Coronary artery disease

A

a. Emphysema

42
Q

Which type of aortic dissection has the best prognosis, using the DeBakey classification?

a. Type II
b. Type I
c. Type III
d. Type IV

A

c. Type III

43
Q

What is a classic sign of pulmonary arterial hypertension?

a. Small hilar areas
b. Pulmonary edema
c. Left ventricular and/or left atrial enlargement
d. Constriction of upper lobe blood vessels
e. Large pulmonary

A

e. Large pulmonary

44
Q

Mitral stenosis may produce the radiographyic appearance of :

a. Right atrial enlargement
b. Right lung base airbornchogram sign
c. Phantom tumor
d. Venous hypertension
e. Left ventricular enlargement

A

d. Venous hypertension

45
Q

A patient with a mediastinal thymus tumor may also have:

a. Myasthenia gravis
b. Neurofibromatosis
c. Multiple sclerosis
d. Muscular dystrophy

A

a. Myasthenia gravis

46
Q

Chamber enlargement at the right atrium, would be expected with which of the following: Pick the single choice reflecting the correct answers:

  1. Ebstein’s anomaly
  2. Aortic coarctation
  3. Tricuspid stenosis and insufficiency
  4. ASD
  5. Ventricular septal defect

a. 1,2,3
b. 2,3,4
c. 1,2,4
d. 1,4,5
e. 1,3,4

A

e. 1,3,4

47
Q

Which primary malignancy is responsible for 3-5 mm metastatic nodules?

a. Osteosarcoma
b. Colon cancer
c. Renal cell carcinoma
d. Ewing’s sarcoma
e. Breast cancer

A

c. Renal cell carcinoma

48
Q

Eisenmenger physiology converts a “right to left” shunt to a “left to right” shunt.

a. True
b. False

A

b. False

49
Q

With regards to lung tumor staging, which of the following combination fo TNM would likely be a stage III caner?

a. T1 N0 M0
b. T2 N2 M0
c. T1 N2 M0
d. T3 N3 M0

A

d. T3 N3 M0

50
Q

Re: questions #50 would any of these combinations be a stage 4 cancer?

[#50]

a. T1 N0 M0
b. T2 N2 M0
c. T1 N2 M0
d. T3 N3 M0

a. Yes
b. No

A

b. No

51
Q

Berqvist’s triad is associated with rib fractures, spine &/or pelvic fracture and ____

a. Para-esophageal hernia
b. traumatic hernia of the left hemidiaphragm
c. Congenital absence of the right hemidiaphragm
d. Traumatic foramen of Morgagnia hernia
e. Traumatic foreman of Bochdalek hernia

A

b. traumatic hernia of the left hemidiaphragm

52
Q

Eisenmenger physiology with VSD would have cyanosis

a. In the lower extremity only
b. In the upper extremity only
c. In the upper and lower extremity
d. In the peripheral extremity only

A

c. In the upper and lower extremity

53
Q

Pulmonary infarction related to DVT and pulmonary embolism

a. Has no radiographic signs
b. Is seen as pulmonary mass
c. Seen as round or oval opacity near the lung hilus
d. Seen as air space consolidation at the lateral lung base

A

d. Seen as air space consolidation at the lateral lung base

54
Q

Carcinoid tumor of the lung is a ____

a. Bronchiolar carcinoma
b. Bronchial adenoma
c. Carcinosarcoma tumor
d. Bronchogenic carcinoma

A

b. Bronchial adenoma

55
Q

Which of the following would not be a cause of left ventricular enlargement?

a. Mitral stenosis
b. Systemic hypertension
c. Large VD
d. Arortic Coarctation

A

a. Mitral stenosis

56
Q

Echinococcosis (hyatid disease) is pulmonary infection:

a. Caused by a platyhelminth
b. Caused by a parasite found in south Africa
c. That occurs in newborns with inactivated surfactant
d. That commonly complicates comatose or quadriplegic patients

A

a. Caused by a platyhelminth

57
Q

Which of the follwoing would be cases of right ventricular enlargement? Remember work load on teh chamber. Put in the defect ad follow the blood flow. Pick all correct choices

a. Emphysema
b. Pulmonary fibrosis
c. Pulmonic stenosis
d. VSD

A

a. Emphysema
b. Pulmonary fibrosis
c. Pulmonic stenosis
d. VSD

58
Q

Which of the following are considered to be risk factor/causes of bronchogenic cancer. Pick the single choice reflecting the correct answers

  1. Cigarette smoking
  2. Asbestosis
  3. Radon gas
  4. Pulmonary fibrosis
  5. Previous pneumococcal pneumonia

a. 1,2,3,4
b. 1.2.3
c. 1.2.4
d. 1.4.5
e. 1,3,4,5

A

a. 1,2,3,4

59
Q

Which cause of pleural effusion could opacify an entire hemothorax?

a. Emphysema
b. Congestive heart failure
c. pulmonary infarction
d. SLE
e. Pleural metastasis

A

a. Emphysema

60
Q

All of the following must be considered in the differential diagnosis of thymoma except:

a. Teratoma
b. Substernal thyroid
c. Lymphoma
d. Foramen of Morgagni hernia

A

d. Foramen of Morgagni hernia

61
Q

The extrapleural sign helps to differentiate lung lesions from: pick all correct

a. Pleural lesions
b. Rib mets. or fractures
c. Mediastinal lesions
d. Intercostal lesions

A

a. Pleural lesions
b. Rib mets. or fractures
c. Mediastinal lesions
d. Intercostal lesions

62
Q

Adynamic or paralytic/non-mechanical ileus may be cause by:

a. Diverticulitis
b. Spinal compression fracture
c. Tumor
d. Volvulus

A

b. Spinal compression fracture

63
Q

Callstone mechanical ileus is cased by: (Mar 1354)

a. A stone filled, spastic gallbladder
b. A gallstone in the small bowel
c. a gallstone lodged at the biliary duct
d. a gallstone lodged in the pancreatic duct

A

b. A gallstone in the small bowel

64
Q

“Emphysematous cholecystiti” caused by gas forming bacteria indicates (Mar 1354)

a. Nothing this is an indicental finding
b. Advanced gallbladder disease
c. Alcoholism
d. Smoking

A

b. Advanced gallbladder disease

65
Q

Diagnostic abdominal ultrasound is the best imaging for which two (pick two correct answer)

a. Gallbladder
b. Aorta
c. Stomach
d. Small bowel

A

a. Gallbladder

b. Aorta

66
Q

Two common cuases of abdominal calcificaitons in a diabetic male pateint:

a. Gallbladder, uterine
b. Spleen, pancrease
c. Aorta, vas deferens
d. Adrenals, liver

A

c. Aorta, vas deferens

67
Q

The most common reason for mediastinal lymph node calcification include:

a. bronchogenic carcinoma and lymphoma
b. Fungal infections and pneumoconiosis
c. Metastatic chondrosarcoma and neurofibroma
d. Sarcoidosis and metastatic osteosarcoma

A

b. Fungal infections and pneumoconiosis

68
Q

Small cell carcinoma may create a radiologic appearance of:

a. Pulmonary nodules
b. Large pulmonary artery
c. Mediastina widening
d. Apical mass

A

c. Mediastinal widening

69
Q

Combination of Kerley’s A and B lines, interstitial pulmonary edema and cephalic shift of pulmonary vascularization suggests:

a. Pulmonary circulatory disorder
b. Ebstein’s anomaly
c. Pulmonic stenosis
d. Increased capillary permeability

A

a. Pulmonary circulatory disorder

70
Q

AAA should be suspected on a lateral lumbar x-ray any time the calcified vessel wall diameter measures:

a. >2cm
b. >3cm
c. >5cm
d. >3.8cm

A

d. >3.8cm

71
Q

Hypertrophic osteoarthropathy

a. Is associated with atelectasis
b. Is an indication of pleural effusion C
c. Related to previous pulmonary tuberculosis
d. A paraneoplastic syndrome related to bronchogenic carcinoma

A

d. A paraneoplastic syndrome related to bronchogenic carcinoma

72
Q

With skeletal osteolytic metastasis, which should be remembered relative to bronchogenic carcinoma?

a. Commonly causes mixed metastasis
b. Commonly causes cranial cranial vault mets
c. May spread anywhere in the skeleton
d. Typically spreads only to the rib cage area

A

c. May spread anywhere in the skeleton

73
Q

The rule is in clinical practice, AAA measuring

A

d.5

74
Q

The reverse “S” sign of Golden requires:

a. A right hilar mass with RUL atelectasis
b. A right hilar mass and RML atelectasis
c. A Left hilar mass and lingular atelectasis
d. A left hilar mass and LUL atelectasis

A

a. A right hilar mass with RUL atelectasis

75
Q

Silicosis

a. Don’t miss this on the radiograph
b. Diabetic male
c. Bronchial adenoma
d. Miliary nodular (1-2mm) densities
e. One of the benefits of cigarette smoking
f. Due to latent period will be around for 2-3 decades
g. Honeycomb lung induced arterial hypertension

A

d. Miliary nodular (1-2mm) densities

76
Q

Asbestosis

a. Don’t miss this on the radiograph
b. Diabetic male
c. Bronchial adenoma
d. Miliary nodular (1-2mm) densities
e. One of the benefits of cigarette smoking
f. Due to latent period will be around for 2-3 decades
g. Honeycomb lung induced arterial hypertension

A

f. Due to latent period will be around for 2-3 decades

77
Q

Squamous cell carcinoma

a. Don’t miss this on the radiograph
b. Diabetic male
c. Bronchial adenoma
d. Miliary nodular (1-2mm) densities
e. One of the benefits of cigarette smoking
f. Due to latent period will be around for 2-3 decades
g. Honeycomb lung induced arterial hypertension

A

e. One of the benefits of cigarette smoking

78
Q

AAA

a. Don’t miss this on the radiograph
b. Diabetic male
c. Bronchial adenoma
d. Miliary nodular (1-2mm) densities
e. One of the benefits of cigarette smoking
f. Due to latent period will be around for 2-3 decades
g. Honeycomb lung induced arterial hypertension

A

a. Don’t miss this on the radiograph

79
Q

Vas deferens calcification

a. Don’t miss this on the radiograph
b. Diabetic male
c. Bronchial adenoma
d. Miliary nodular (1-2mm) densities
e. One of the benefits of cigarette smoking
f. Due to latent period will be around for 2-3 decades
g. Honeycomb lung induced arterial hypertension

A

b. Diabetic male

SOFT B (10 decks)

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